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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Holston Rehabilitation and Care Center is a 204-bed skilled nursing facility in Kingsport, Tennessee, offering short-term rehabilitation, memory support care, and long-term skilled nursing to residents in Sullivan County. Licensed since 1992, the center is operated by Holston Manor SNF Operations, LLC, under the administration of Johnathan Blaine Kelly.
CMS rates the facility 1 star overall, with 1-star sub-ratings across Health Inspection, Staffing, and Quality Measures — the Health Inspection component carrying the most weight in that overall score. No civil money penalties or payment denials appear in CMS records for the past three years. Total nurse staffing averages 3 hours and 46 minutes per resident per day, slightly above Tennessee’s average of 3 hours and 40 minutes; however, registered nurse staffing averages 29 minutes per day — 22% below the state benchmark — which is the staffing figure most relevant to clinical oversight.
The facility’s occupancy rate is 51.2%, well below Tennessee’s average of 73%, placing the facility 261st out of 302 state SNFs by that measure. Admissions run 71% private pay and 20% Medicare, with an average length of stay of 89 days — a profile consistent with post-acute and short-term recovery stays.
Rooms are typically available. The center’s amenities and services include a therapy gym, an interior courtyard, an atrium for private gatherings, an activities department, and 24-hour on-site staffing.
Holston Rehabilitation and Care Center is best suited for residents seeking short-term rehabilitation or transitional care in the Kingsport area, where current availability is high
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 39th out of 172 homes in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 26m per day | ▼ 29% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 7m per day | ▲ 4% State avg: 1h 5m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 24m per day | ▲ 11% State avg: 2h 9m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 34m per day | ▲ 7% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 62% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 10m per day | ▼ 59% State avg: 24m per day · National avg: 28m per day |
Lower than the Tennessee average: 71.6%Holston Rehabilitation and Care Center is administrated by Johnathan Blaine Kelly.
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Tennessee average 3.5
Last Health inspection on Nov 2025
Tennessee average 15.4
Tennessee average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 17 citations resulted from standard inspections; 3 of 17 resulted from complaint investigations; and 2 of 17 came from combined inspections (standard and complaint).
100% better than Tennessee averageTennessee average: 1.1
100% better than Tennessee averageTennessee average: 0.6
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
69% more staff per resident than Tennessee average
0% compared with Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.3 hoursAssists with medical care and medications.
98 total: 32 full-time employees and 66 contractors.
98
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
209 total: 77 full-time employees and 132 contractors.
209
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
13,117 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 77 | 132 | 209 | 28,792 | 92 | 100% | 9 |
| Licensed Practical Nurse | 32 | 66 | 98 | 13,116 | 92 | 100% | 8.6 |
| Clinical Nurse Specialist | 13 | 0 | 13 | 2,910 | 90 | 98% | 7.2 |
| Registered Nurse | 12 | 0 | 12 | 2,116 | 85 | 92% | 6.3 |
| Therapeutic Recreation Specialist | 5 | 0 | 5 | 1,406 | 85 | 92% | 6.5 |
| Respiratory Therapist | 5 | 0 | 5 | 1,153 | 80 | 87% | 7 |
| Nurse Aide in Training | 11 | 0 | 11 | 1,068 | 49 | 53% | 9.8 |
| Qualified Social Worker | 3 | 0 | 3 | 1,064 | 68 | 74% | 7.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 897 | 83 | 90% | 7.9 |
| RN Director of Nursing | 3 | 0 | 3 | 864 | 66 | 72% | 7.3 |
| Physical Therapy Assistant | 4 | 0 | 4 | 744 | 69 | 75% | 5.6 |
| Qualified Activities Professional | 3 | 0 | 3 | 716 | 59 | 64% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 498 | 63 | 68% | 7.9 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 457 | 57 | 62% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Dental Services Staff | 2 | 0 | 2 | 417 | 56 | 61% | 7.4 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 399 | 66 | 72% | 3.4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
20.8
99% worse than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
37.8
94% worse than Tennessee averageTennessee average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
31.5%
97% worse than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
57.6%
166% worse than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.3%
17% worse than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
47% better than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
3.4%
37% better than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.6%
72% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
9.6%
52% worse than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
2.5%
77% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
25.9%
57% worse than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.4%
7% better than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Tennessee averageTennessee average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.47
7% better than Tennessee averageTennessee average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.29
46% worse than Tennessee averageTennessee average: 1.57
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.0%
20% better than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
25% worse than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
22% better than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.0%
In line with Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.3%
63% worse than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
39.2%
27% worse than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
44.2%
13% worse than Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
20% of new residents, usually for short-term rehab.
71% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
128Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Holston Rehabilitation and Care Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #76 / 176Payroll — State benchmarkedThis home is ranked 76th out of 176 homes in Tennessee for payroll. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
4.3 miles from city center
Estimated distance in miles from Kingsport's city center to Holston Rehabilitation and Care Center's address, calculated via Google Maps.
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Holston Rehabilitation and Care Center is located in Kingsport, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
The legal owner and operator of Holston Rehabilitation and Care Center is Holston Manor SNF Operations, LLC.
Holston Rehabilitation and Care Center has a walk score of 1. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TN state health department records, Holston Rehabilitation and Care Center's license number is 00000264.
Holston Rehabilitation and Care Center's occupancy is 51%.
Johnathan Blaine Kelly is the administrator of Holston Rehabilitation and Care Center.
Holston Rehabilitation and Care Center has 204 beds.
Yes — there are 22 photos of Holston Rehabilitation and Care Center in the photo gallery on this page.
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